The rise of biomedical foundation models creates new hurdles in model testing and authorization, given their broad capabilities and susceptibility to complex distribution shifts. We suggest tailoring robustness tests according to task-dependent priorities and…
Continue Reading
I would move, remove, the concept of prior authorization. We're already starting to see some pushback. There's some great work in some states, but I think that, you know, the amount of energy that…
Continue Reading
What You Should Know:
–ZeOmega®, the leading population health management organization, today announced its partnership with Datycs, a leading provider of clinical AI/Natural Language Processing (NLP) solutions, to automate converting unstructured data from faxed documents…
Continue Reading
What You Should Know:
– Innovaccer Inc., a healthcare AI company launches Flow Auth, a new AI-powered prior authorization solution.
– As part of the company’s revenue cycle performance platform, Flow by Innovaccer, Flow Auth is…
Continue Reading
What You Should Know:
– Artera, the developer of multimodal artificial intelligence (MMAI)-based prognostic and predictive cancer tests, announced today that the U.S. Food and Drug Administration (FDA) has granted De Novo authorization for ArteraAI…
Continue Reading
What is Prior Authorization?
Prior authorization represents one of healthcare’s most entrenched administrative processes—an insurer approval protocol that has become synonymous with delays, red tape, and complicated relationships between patients, providers, and payers. This healthcare…
ASTP/ONC’s HTI-4 final rule finalizes certain proposals from the HTI-2 Patient Engagement, Information Sharing, and Public Health Interoperability proposed rule, including new and updated health IT certification criteria for electronic prior authorization, electronic prescribing,…
Continue Reading
What You Should Know:
– Highmark Health announced today the launch of an enterprise-wide collaboration with Abridge to deploy its ambient clinical documentation platform, collaborate on a paradigm-shifting prior authorization solution at the point of conversation,…
Continue Reading
Ryan Chapin, Executive Director of Strategic Solutions, AGS Health
Rising operating costs, shrinking operating margins, and a complex payer landscape characterized by heightened prior authorization requirements and a push to embed advanced technology more deeply…
Continue Reading
What You Should Know:
– The U.S. Department of Health and Human Services (HHS) has released a new final rule, the Health Data, Technology, and Interoperability: Electronic Prescribing, Real-Time Prescription Benefit and Electronic Prior Authorization…
Continue Reading
